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在接受镜辅助透光轨道切除术的患者中,手术成功和预测因素

Gülşah Gümüş Akgün¹, Gizem Taşkın¹, Neşe Alagöz¹

¹University of Health Sciences Türkiye, Beyoğlu Eye Training and Research Hospital, Clinic of Ophthalmology, İstanbul, Türkiye.

Turkish journal of ophthalmology

|December 25, 2025

概括

阴视镜辅助的透光轨道切除术 (GATT) 对于开角玻璃眼有效,总体成功率为87.6%. 诸如较高的手术前IOP和较长的轴长度等因素增加了故障风险,而360°GATT改善了结果.

科学领域:

眼科医生眼科眼科
玻璃眼的手术玻璃眼的手术
外科手术的结果

背景情况:

开角玻璃眼需要有效的手术干预来控制眼内压力 (IOP).
阴视镜辅助的透光轨道切除术 (GATT) 是一种最小的侵入性玻璃眼外科手术.
评估GATT的长期疗效和预后因素对于临床实践至关重要.

研究的目的:

为了评估经过镜辅助的透光轨道切除术 (GATT) 一年内手术成功率.
确定影响GATT接受开角青光眼患者手术结果的预后因素.

主要方法:

对225只眼睛 (214名患者) 进行了以GATT.治疗的回顾性分析.
收集的数据包括手术前和12个月后的眼内压力 (IOP).
通过IOP目标 (5-18 mmHg) 或在没有进一步手术的情况下减少≥30%的IOP定义的手术成功.

主要成果:

平均手术前内血压为26.7mmHg,在12个月后降至14.3mmHg (p<0.05).
完整的手术成功率 (标准A) 为41.3%;整体成功率为87.6%.
更高的手术前内压力,更长的轴长度和术后内压力峰值与手术失败有关. 环形 (360°) GATT 的成功率高于半形GATT.

结论:

盖特是一种有效和安全的手术选择,用于开角玻璃眼.
更高的手术前内压力,更长的轴长度和术后内压力峰值是失败的风险因素.
环绕性GATT及其在复杂的青光眼病例中的潜在使用需要进一步考虑.

关键词:

视角开放的玻璃眼 (Open-angle glaucoma) 是一种视角开放的玻璃眼.经光镜辅助的透光轨道切除术 (transluminal trabeculotomy) 是一种通过光镜进行的切除术.外科手术的成功

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